Interactions between women with rheumatoid arthritis and nurses during outpatient consultations: A qualitative study

Helle Feddersen*, Tine Mechlenborg Kristiansen, Pernille Tanggaard Andersen, Kim Hørslev-Petersen, Jette Primdahl

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Introduction: Rheumatoid arthritis (RA) is a chronic inflammatory disease, and patients with RA receive services in various settings—for example, in nurse-led follow-up consultations. The present study aimed to investigate how the management of RA in everyday life is expressed in interactions between nurses and women with RA during nursing consultations. Methods: The study was conducted in accordance with constructivist grounded theory, with data based on participant observations and subsequent interviews with 10 women with RA. Results: A core category was developed, “Collaboration through mutual acknowledgement”, which documented how the women and nurses confirmed their shared understanding of the content and the structure of the consultation. Three subcategories were identified: (i) “On safe ground”, which illustrated that biomedical factors, such as blood test results and pharmacological treatment, structured the basis of the dialogue; (ii) “Venturing forward”, which documented how both parties were aware of each other's reactions when the dialogue dealt with women's perspectives of illness in their everyday lives; and (iii) “Gentle steering”, which showed that the nurses gently steered the dialogue if the women strayed from the planned content. Conclusions: Both parties agreed that a disease perspective consistent with biomedical factors formed the basis for further dialogue. Subsequently, the women's perspectives on illness were included, and the women felt acknowledged. Therefore, the recommendation is that the consultations start by all parties agreeing on a shared agenda to facilitate the inclusion of the women's perspectives on illness.

Original languageEnglish
JournalMusculoskeletal Care
Volume17
Issue number4
Pages (from-to)363-371
ISSN1478-2189
DOIs
Publication statusPublished - Dec 2019

Fingerprint

Outpatients
Referral and Consultation
Nurses
Nursing
Interviews

Keywords

  • constructivist grounded theory
  • Goffman
  • illness
  • inflammatory arthritis
  • nurse-led follow-up
  • participant observations
  • qualitative interviews

Cite this

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title = "Interactions between women with rheumatoid arthritis and nurses during outpatient consultations: A qualitative study",
abstract = "Introduction: Rheumatoid arthritis (RA) is a chronic inflammatory disease, and patients with RA receive services in various settings—for example, in nurse-led follow-up consultations. The present study aimed to investigate how the management of RA in everyday life is expressed in interactions between nurses and women with RA during nursing consultations. Methods: The study was conducted in accordance with constructivist grounded theory, with data based on participant observations and subsequent interviews with 10 women with RA. Results: A core category was developed, “Collaboration through mutual acknowledgement”, which documented how the women and nurses confirmed their shared understanding of the content and the structure of the consultation. Three subcategories were identified: (i) “On safe ground”, which illustrated that biomedical factors, such as blood test results and pharmacological treatment, structured the basis of the dialogue; (ii) “Venturing forward”, which documented how both parties were aware of each other's reactions when the dialogue dealt with women's perspectives of illness in their everyday lives; and (iii) “Gentle steering”, which showed that the nurses gently steered the dialogue if the women strayed from the planned content. Conclusions: Both parties agreed that a disease perspective consistent with biomedical factors formed the basis for further dialogue. Subsequently, the women's perspectives on illness were included, and the women felt acknowledged. Therefore, the recommendation is that the consultations start by all parties agreeing on a shared agenda to facilitate the inclusion of the women's perspectives on illness.",
keywords = "constructivist grounded theory, Goffman, illness, inflammatory arthritis, nurse-led follow-up, participant observations, qualitative interviews",
author = "Helle Feddersen and Kristiansen, {Tine Mechlenborg} and Andersen, {Pernille Tanggaard} and Kim H{\o}rslev-Petersen and Jette Primdahl",
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Interactions between women with rheumatoid arthritis and nurses during outpatient consultations : A qualitative study. / Feddersen, Helle; Kristiansen, Tine Mechlenborg; Andersen, Pernille Tanggaard; Hørslev-Petersen, Kim; Primdahl, Jette.

In: Musculoskeletal Care, Vol. 17, No. 4, 12.2019, p. 363-371.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Interactions between women with rheumatoid arthritis and nurses during outpatient consultations

T2 - A qualitative study

AU - Feddersen, Helle

AU - Kristiansen, Tine Mechlenborg

AU - Andersen, Pernille Tanggaard

AU - Hørslev-Petersen, Kim

AU - Primdahl, Jette

PY - 2019/12

Y1 - 2019/12

N2 - Introduction: Rheumatoid arthritis (RA) is a chronic inflammatory disease, and patients with RA receive services in various settings—for example, in nurse-led follow-up consultations. The present study aimed to investigate how the management of RA in everyday life is expressed in interactions between nurses and women with RA during nursing consultations. Methods: The study was conducted in accordance with constructivist grounded theory, with data based on participant observations and subsequent interviews with 10 women with RA. Results: A core category was developed, “Collaboration through mutual acknowledgement”, which documented how the women and nurses confirmed their shared understanding of the content and the structure of the consultation. Three subcategories were identified: (i) “On safe ground”, which illustrated that biomedical factors, such as blood test results and pharmacological treatment, structured the basis of the dialogue; (ii) “Venturing forward”, which documented how both parties were aware of each other's reactions when the dialogue dealt with women's perspectives of illness in their everyday lives; and (iii) “Gentle steering”, which showed that the nurses gently steered the dialogue if the women strayed from the planned content. Conclusions: Both parties agreed that a disease perspective consistent with biomedical factors formed the basis for further dialogue. Subsequently, the women's perspectives on illness were included, and the women felt acknowledged. Therefore, the recommendation is that the consultations start by all parties agreeing on a shared agenda to facilitate the inclusion of the women's perspectives on illness.

AB - Introduction: Rheumatoid arthritis (RA) is a chronic inflammatory disease, and patients with RA receive services in various settings—for example, in nurse-led follow-up consultations. The present study aimed to investigate how the management of RA in everyday life is expressed in interactions between nurses and women with RA during nursing consultations. Methods: The study was conducted in accordance with constructivist grounded theory, with data based on participant observations and subsequent interviews with 10 women with RA. Results: A core category was developed, “Collaboration through mutual acknowledgement”, which documented how the women and nurses confirmed their shared understanding of the content and the structure of the consultation. Three subcategories were identified: (i) “On safe ground”, which illustrated that biomedical factors, such as blood test results and pharmacological treatment, structured the basis of the dialogue; (ii) “Venturing forward”, which documented how both parties were aware of each other's reactions when the dialogue dealt with women's perspectives of illness in their everyday lives; and (iii) “Gentle steering”, which showed that the nurses gently steered the dialogue if the women strayed from the planned content. Conclusions: Both parties agreed that a disease perspective consistent with biomedical factors formed the basis for further dialogue. Subsequently, the women's perspectives on illness were included, and the women felt acknowledged. Therefore, the recommendation is that the consultations start by all parties agreeing on a shared agenda to facilitate the inclusion of the women's perspectives on illness.

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SP - 363

EP - 371

JO - Musculoskeletal Care

JF - Musculoskeletal Care

SN - 1478-2189

IS - 4

ER -